Professional Documents
Culture Documents
CRITICAL INCIDENT
The person experiences, witnessed, or was
confronted with an event or events that involved
actual or threatened death or serious injury, or a
threat to the physical integrity of self or others.
Prior trauma
•Disabled
•Bereaved
Man-Caused vs.
•Health impairments
Naturally Occurring •Women
Events
INCLUDE LOSS
CONSEQUENCES OF CRITICAL INCIDENTS OFTEN
Tangible
Loss of loved ones
Loss
Loss of home
Loss of hope
Loss of CONTROL
EMERGENCY
POSSIBLE PSYCHOLOGICAL REACTIONS TO A LARGE-SCALE
Many people survive disasters without
developing any significant psychological
symptoms.
For other individuals, the reactions will
disappear over time.
Takes time
OTHERS
Primarily directed toward “normal” people who are responding
Helps people to handle problems in a way that does not create MORE
problems
Convey sense of compassion and support for people.
PSYCHOLOGICAL RESPONSE TO
Experience has shown that:
Grief and loss over loved ones & loss of valued and meaningful
possessions
Fear & anxiety about personal safety & the physical safety of
loved ones
A need to talk about events & feelings associated with the
disaster, often repeatedly
A need to feel one is a part of the community & its recovery
Phases of Disaster
Honeymoon
(community cohesion)
Reconstruction
Heroic (a new beginning)
f
Pre-Disaster Disillusionment rie
G
gh s)
Threat rou term
Th to
ing ing
Warning EVENT k m
or (co
W
Inventory
Trigger Events and
Anniversary Reactions
SAFETY
CALM
CONNECTEDNESS
SELF-EFFICACY
HOPE
THE ENERGY CURVE
Agitation
Baseline
REACTIONS
PSYCHOLOGICAL RESPONSE TO TRAUMA SURVIVORS’ NEEDS AND
People often experience strong and unpleasant
emotional and physical responses following exposure
to traumatic events (e.g. disasters).
These may include a combination of:
•Shock •Confusion
•Hopelessness •Shame
POSSIBLE PSYCHOLOGICAL REACTIONS TO A LARGE-SCALE
EMERGENCY
For most people, things get
better with time…
CATEGORIES OF REACTIONS AFTER THE INCIDENT
•Acute Stress Disorder / Post Trauma Stress Disorder
•Grief
•Depression •Avoidance (emotional)
•Resilience Mental Health •Substance abuse
and Illness
•Risk taking
•Over Dedication
Human
Distress Behavior in
Responses High Stress
Environments
•Fear / worry
•Sleep disturbance
•Altered productivity
HOW DO NGOS HELP?
How do we achieve “The right to life with dignity”?
Prevent/mitigate impacts of disasters
I
EFICOR
CARE
Oxfam
World Vision
Save the
Children (US,
UK, etc.)
Caritas/Catholic Relief Services/Development & Peace
PLAN
ADRA
RESOURCE STREAMS
Mass appeals
Health Services
RESPONSE PREPAREDNESS
L R Disaster
O I
Multilateral C Affected
Agencies
V People
A
L A
G S
TE
O Vulnerable
CE
North NGOs/ South NGOs/ V T Communities
T
Red Cross O
Local partners R
CBOs
General Pubic/
Corporations
Newsmedia
Case 11: Disaster workers energy levels, Relief worker’s Self-Care
IM
Topic: Workers tire after 1-2 weeks in disaster
(health work activity in the disaster situation)
“I think the fatigue of staffs would peak about one week after the earthquake. I
thought we should not have felt “I have to be here” and took rest.”
“We felt that we had to be a leader and act because I am the health worker in the
area. We were totally tired just after two weeks. We held conference with assistant
health workers from outside areas. I said that we had no energy to continue. Replies
from assistants were warm. They said “How can we assist you to continue your
work?”
H
Lessons
•Emergency workers work until they are very tired – they are also stressed
•Outside mental health staff needed to help identify and solve worker
fatigue issues
•Perceived failure in saving lives can cause stress among disaster
workers 40
Psychosocial programming
Case 25: Counseling for disaster survivors, Sri Lanka
Topic: NGO provision of trauma counseling and psychosocial programming
Indian Ocean Tsunami devastated three quarters of the coastline of Sri Lanka. At its
worst, in the early stages, there were nearly a million displaced persons.
MERCY Malaysia began response with their Psychosocial Support programs, which
covered trauma counseling as well as psychosocial activities. MERCY Malaysia made
efforts to deploy Tamil speaking mental health support volunteers in order that the
help would fully benefit the beneficiaries.
Five hundred out of the 2,000 survivors who were counseled by their volunteers were
children. With the children, MERCY Malaysia volunteers provided counseling through
art and play therapy. MERCY Malaysia’s volunteers visited the communities living in IDP
camps. Psychosocial intervention was given on an individual basis, in family groups as
well as in the form of community counseling sessions. Their volunteers also developed
artwork and informative posters illustrating facts on tsunamis. MERCY Malaysia
conducted a Mental Health Support Training Programme to better equip mental health
workers as well as family support workers to assist those affected.
Lessons
Lessons
THouprriicc:aPneo
r Mgritacmh omnni mgenni tavlohvl eani ltghyoof
“Return of Happiness”, the programme presented by the youth of the Costa Rica
Red
uthneCross
gHpoewas
nodpwinner of the
ulrean adult Youth Award 2007. In the response to a disaster, youth
population
volunteers are mobilized to ensure psycho-social support to the vulnerable groups,
especially children, with at particular focus on child protection.
The special attention given to the training of youth volunteers, close cooperation
with UNICEF as well as with the Psychosocial Support Unit of the National Society,
and the prompt mobilization of the youth volunteers in the local communities
together resulted in increased motivation of the youth volunteers. This makes the
programme highly sustainable and contributes to rebuilding the material and social
aspects of the local communities.
Lessons
PSYCHOSOCIAL PROGRAMMING
44
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PSYCHOSOCIAL PROGRAMMING
ilies
45
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Activities Suggestions With Adults
PSYCHOSOCIAL PROGRAMMING
46
Case 62: Mourning the dead, The disaster of Armero (Colombia), 1985
Lessons
•Corpses are often lost in a disaster before relatives can claim them and bury them
as their culture dictates
•Symbolic sites are identified where relatives can place headstones and to pay
their respects to their dead relatives
A weather system consisting of an area of low
CYCLONE
pressure, in which winds circulate at speeds
exceeding 61 km/hr, also known as ‘Cyclone’ or
Tropical Storm.
C N
PE
The super cyclone of October 1999 generated a wind speed
of 252 km/h with an ensuing surge of 7–9m close to
Paradip in Orissa which caused unprecedented inland
inundation up to 35 km from the coast. It is worth noting
that, at times, persistent standing water was identified in
the satellite imageries even 11 days after the cyclone
landfall, as it happened in the Krishna delta in May 1990
and in several other instances. The Andhra Pradesh
cyclone in 1977 which hit Divi Seema also generated
winds exceeding 250 km per hour.
lays down institutional and coordination mechanism for effective
LOCAL AUTHORITIES
Raj Institutions (PRIs), district and Cantonment
Boards and Town Planning Authorities for control
and management of civic services. These bodies
will ensure capacity building of their officers and
employees in DM, carry out relief, rehabilitation
and reconstruction activities in the affected areas
and will prepare DM plans in consonance with
guidelines of NDMA, SDMAs and DDMAs
In any disaster, it is the community that is always
CIVIL DEFENCE
the first responder. Outside help comes in only
later.Training the community and making such
response organised is therefore of utmost
importance.
WMO
COMMUNITY PREPAREDNESS
in each target habitation. The DMC has taken-up the
ownership of community assets (raised borewells pump
sets, etc.). The Village level DMC's were attached to a single
management structure, called Disaster Management
Society. Core members of the Federation were provided
necessary training and exposure for managing the future
disasters. This federation is also tapping government
resources and managing their own programmes. Each DMC
in consultation with DMS is mobilizing the available
resources from the Govt. and other sources during the time
of disaster occurrence. In each DMC at least 2 to 3 women
members were nominated.
DMC also ensures the consistency of Task force s, periodic
mock drill exercises that are to be performed in the
habitations in every quarter. DMC also makes sure that
there is a review and updation of Task Force and DMC in
every 3 years, for active participation from all levels in the
habitations.
The Disaster Management Bill, 2005
Disaster Management Act, 2005
The National Disaster Management Authority
National Disaster Response Force
DISTRICT MP / MLA
DISASTER ZP
MANAGEMENT CHAIRPERS
CELL / TASK DISTRICT ON
FORCE / COLLECTOR /
RELIEF AND JOINT
REHABILITATI COLLECTOR /
ON CELL CEO
SC / ST
RDO / SUB-
IEM ITDA CORPO
COLLECTOR RATION
LAW
AND
ENGINEE
ORDER
R
MRO /
MDO DM SOCIETY AGRICULTUR
E
MPTC / HEALT
ZPTC H
D D D D
C C C C
O O O O
M M M M
M M M M
IT IT IT IT
E E E E
E E E E
D D D D
C C C C
O O O O
M M M M
M M M M
IT IT IT IT
T T T T
E E E E
DM COMMITTEE
communal shelters
Education and planning
has
as
:
es
1. It is possible to reduce loss of life and property
through preparedness
2. Preparedness is necessary at every level – national,
provincial, local and community
3. Preparedness is necessary in every sector
4. Pre-Disaster Recovery Planning to ensure better
coordination among various sectors in different
levels
5. Such planning needs to be formalized in the shape of
manuals and Standard Operating Procedures so that
there is no confusion during and after disasters
1. Holistic - cover housing, infrastructure, education,
livelihood, health, psycho-social care etc.
2. Long term - provide livelihood support including
development of skill, provisioning of credit and marketing
support etc
3. ‘Build back better’ - ensure that the houses and
infrastructure constructed after disasters withstand the
hazards and risks of nature and the hazards do not become
disasters again
4. Sustainable - integrate environmental issues,
such regeneration of mangroves, conservation of
water,
5. Inclusive - care for poor and vulnerable - women, children,
aged, physically and mentally challenged people
Recovery
U
disaster management
India has also taken important steps for better response
and preparedness
Lots to be done for preparedness to match acceptable
risks Prevention and mitigation continues to remain
weak
Early warning of flood and extreme weather events needs lots
of improvements
Hazard resistant building bye laws notified, but standard
of implementation is poor
Strengthening of lifeline structures still unattended task
Many metropolitan cities have accumulated risks and
vulnerabilities that trigger mega disasters in future
Country is yet to develop a risk transfer and risk insurance system